...Qualitative Research Critical Analysis Paper: The Lived Experience of Healthy Behaviors in People with Debilitating Illness Qualitative Research Critical Analysis Paper:The Lived Experience of Healthy Behaviors in People with Debilitating Illness The purpose of this paper is to summarize the study “The lived experience of health behaviors in people with debilitating illness” (Haynes & Watt, 2008). Within this summary it will critique and describe the qualitative methodology used in the study, the appropriateness and relevance of the design for the study purpose, the study purpose, the target population, the study participants, and the setting the study participants are in. This paper will critique and describe ethical issues mentioned in the study and ethical issues not mentioned in the study, but are of importance to the study population. It will also critique and describe the data quality methods used, the research findings, the limitations as they relate to the study purpose, the implications for nursing practice, and conclude with a brief summary. The selection of this research article was because of the interest in understanding how individuals with incapacitating illnesses can continue with living a health centred lifestyle. Thoroughly analyzing the selected research via a critical lens, as well as reflecting on professional practice, assists the healthcare professional in applying holistic, client-centered care. Method The study, “The lived experience of...
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...fastest growing generation. The geriatric population appear to be requiring more medical care due to an increase of chronic conditions, such as diabetes, high blood pressure, and arthritis. These illnesses can be costly because of continuous expensive treatments. To effectively meet the health care needs of these patients there needs to be an improved system, along with planning and supporting care given appropriately by palliative care practices....
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...Vulnerable Population and Self-Awareness Paper NUR/440 – Health Assessment and Promotion For Vulnerable Population 12 December 2011 Vulnerable Populations and Self Awareness Introduction This paper is a study of the vulnerable population of the elderly in the United States and will discuss the mindfulness of this author’s personal biases, attitudes, and conceived stereotypes regarding this population. The patient chosen as an example for this paper is Norma James from the University of Phoenix “neighborhood”. Mrs James is a widow who’s vulnerability relating to health care will be compared with information gathered through research and applied to the elderly population and those with chronic illness. The vulnerabilities faced by Norma will be a realistic representation of the challenges associated with this population. Elderly Patients with Chronic Illness Despite the efforts of healthcare providers and various organizations across the United States to reduce or eliminate disparities within vulnerable healthcare populations, significant disparities continue to cause limited access to healthcare. This limitation poses risk to populations such as elderly and those living in poverty. The health domains of vulnerable populations can be divided into 3 categories: physical, psychological, and social. Those with physical needs include the elderly, chronically ill and disabled, chronic medical conditions include respiratory diseases, diabetes, hypertension, dyslipidemia...
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...* Skip to Navigation * Skip to Content TermPaperWarehouse.com - Free Term Papers, Essays and Research Documents The Research Paper Factory * Join * Search * Browse * Saved Papers ------------------------------------------------- Top of Form Search Bottom of Form * Home Page » * Other Topics Rising Health Care Cost In: Other Topics Rising Health Care Cost Courtney Sheegog May. 8th, 2013 Hca/210 Rising Health Care Cost Assignment • What are some of the driving forces behind rising health care spending? One of the driving forces behind rising health care spending is Technology and Prescription drugs, chronic disease, aging of the population, Administrative costs. For several years, spending on new medical technology and prescription drugs has been the leading contributor to the increase in overall health spending. (Healthcare reform .Gov. ,2011). Longer life spans, and greater prevalence of chronic illnesses. This has placed tremendous demands on the health care system, particularly an increased need for treatment of ongoing illnesses and long-term care services such as nursing homes; it is estimated that health care costs for chronic disease treatment account for over 75% of national health expenditures (Kaiser Edu.org, 2010). How do HMOs affect health care costs? HMO's often emphasize their ability to contain costs through oversight of physicians' decisions or by implementation of a capped payment scheme that aligns physicians' incentives...
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...TermPaperWarehouse.com - Free Term Papers, Essays and Research Documents The Research Paper Factory * Join * Search * Browse * Saved Papers ------------------------------------------------- Top of Form Bottom of Form * Home Page » * Science Cognitive In: Science Cognitive Discuss the impact of chronic medical conditions on adolescents (12-18yo) and identify ways of promoting resilience or positive development (1300 min-1500 max words). A chronic or long-term illness results in major physical and psychological changes to the individual. The illness requires them to adjust to the burdens of the therapy implicated to treat the condition. There are multiple emotional, cognitive, motivational and behavioral factors that are stressed during the ongoing illness that hinders the individuals ability to develop and function healthily within Sigmund Freuds psychodynamic structure. Additional theories according to B.F Skinner, Mccrae & Costa and Carl Rogers compliment the idea that chronic illness will impact the individual’s ability to keep a positive self-esteem and develop socially and autonomously through adolescents. We will look into the specific factors that are impacted by chronic illness’, how exactly they relate to the responses of adolescent individual, how it affects their relationships with families and medical staff, and identify ways in which we can promote positive development despite the burden of a wide range of chronic illness’. For Adolescents...
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...their lives by better managing their disease and get those diseases under control by giving patients the skills and expertise necessary. Disease management programs seek to change the approach to patient care with regards to difficult conditions by incorporating evidence based medicine techniques and outcomes that can contribute to the wellness of patients by using combinations of education, provider practice guidelines, consultations, appropriate drug utilization, supplementary drugs and services. Focus on these areas can keep patients illnesses from reaching emergent care levels as well as reducing the outlay associated with high–cost diseases. Disease Management History Chronic conditions make up more than 40 million Medicare eligible people, 23% having five or more chronic conditions and encompassing 68% of its spending (Kongstvedt, 2007). Primarily these chronic conditions are comprised of heart disease, diabetes, glaucoma, asthma, chronic obstructive pulmonary disease, and cancer (Kongstvedt, 2007). In the early 1990s on the hinds of a problematic reward system which gave financial incentives to...
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...Family Stress, Adjustment, and Adaptation which identifies how families cope with hardships and/or stressors such as chronic illnesses, addictions, deaths, etc. Stress is a concern central to most families. Family involvement provides a greater overview of the care patients should receive to cope with stressors. Therefore, nurse practitioners (NP) have the duty to involve each individual patient in his or her care as well as any identified family member. This paper will focus on the importance of implementing the Resiliency Model of Family Stress, Adjustment, and Adaptation as a foundation to...
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...Obesity Demographic Paper Obesity Demographic Paper Obesity is becoming a major worldwide epidemic that is a chronic disease which affects everyone young and old, male and female alike. The exact cause is still unknown and scientists are still trying to understand what triggers it. One cause is that in today’s fast paced world, people do not have time to sit down to home cooked meals, or exercise and really take good care of themselves. Fast food restaurants are replacing the home cooked meals and providing bigger portions on their menus and people not finding time to exercise. Instead, they choose to sit down and watch movies at home or surf the net as a source of entertainment due to economic reasons. Children are playing video games instead of playing sports or riding bikes (Obesity in America: What’s driving the epidemic?, 2012. 02). This is becoming a harmful trend which is contributing to the rise of chronic diseases. Obesity does not discriminate and studies over the years have found that there is a significant difference in obesity by ethnicity and race and it differs by sex and age. Obesity is a major contributor of heart disease, cancer, liver and gallbladder diseases, sleep apnea and respiratory issues, depression, infertility, erectile dysfunction and mental health conditions (Jacobson, 2000). In the past 20 years, obesity has risen in the United States and continues to rise with more than 35.7 % of the adults and 17% of children between the ages of 2-19...
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...Demographic Paper Angela McDowell HCS/490 08/25/2013 Tina Folk-Cromartie Demographic Paper Like the rest of the world, the US is an ageing society. This will place substantial additional pressure on publicly-funded health, long-term and income support programs for older people. This paper analyses the demographic changes that the US faces and how they will affect those programs, concentrating on the factors that may affect the economic burden that these programs impose. The aging of the baby boom generation, the extension of life, and progressive increases in disability-free life expectancy have generated a dramatic demographic transition in the United States. Official government forecasts may, however, have inadvertently underestimated life expectancy, which would have major policy implications, since small differences in forecasts of life expectancy produce very large differences in the number of people surviving to an older age. Forecasts were made with a cohort-components methodology, based on the premise that the risk of death will be influenced in the coming decades by accelerated advances in biomedical technology that either delay the onset and age progression of major fatal diseases or that slow the aging process itself (Wiener & Tilly, 2013). . Population Demographic Data Like the rest of the world, the US is an ageing society. Between 2000 and 2050, the number of older people is projected to increase...
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...ASSOCIATE EDITORS CALIFORNIA AGRICULTURE HOME > VOLUME 64 > NUMBER 4 > VIEWING HTML W/LINKS Peer-Reviewed Research Article Effects of stress on health and aging: Two paradoxes Authors Carolyn Aldwin, Oregon State University Loriena A. Yancura, University of Hawai'i Publication Information California Agriculture 64(4):183-188. DOI: 10.3733/ca.v064n04p183. October-December 2010. Author Affiliations C.M. Aldwin is Professor, Department of Human Development and Family Sciences, Oregon State University, Manoa. L.A. Yancura is Associate Professor, Department of Family and Consumer Sciences, University of Hawai'i, Manoa. Abstract Although older adults are thought to experience more stress and to be more vulnerable to its adverse effects, they often report less stress than younger adults and sometimes show more resilience. Paradoxically, while stress sometimes has long-term positive effects on well-being, studies differ as to whether this increases or decreases with age. We conclude that older individuals have learned to appraise and cope differently with stress. This protects them in spite of their increased physiological vulnerability and may also increase the possibility of stress-related growth and optimal aging. Full Text [View Enlargement] As people age their health trajectories tend to diverge, with some developing multiple chronic conditions and others maintaining good health; stress may play a role in this aspect of aging. Over the past century...
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...need for the integration of health enabling technologies into health information systems. The use of health enabling technologies is thought to help in the mission of improving the need for care and quality through the enhancement of sensor-enhanced health information systems. The greatest areas of importance for health enabling technologies are data security, patient centered care, diagnostic analysis, and system connectivity standards which will help focus on improving care, quality, and disease research. The transition from a system that is institutional focused to patient focus will not be immediate, for health enabling technologies is still fairly new and growing so it will be a slow process before patients and organizations reap the benefits of this new technology. Creating self-sufficiency is an important capability for patients and care givers especially for those living with chronic illnesses. Health enabling technologies will aid in managing illnesses through relevant information and communication, which is key for individuals to actively participate and have some control over their healthcare needs. The health enabling technology of sensor-enhanced health information systems will, in hopes, allow a patient to review and make decisions from the privacy of their homes through the access of health records, decision support from providers, access to relevant information, and ease for system users. The objective of this article is to communicate the...
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...advanced education and experience to attain the required credential needed to handle the responsibilities that come with the profession. The purpose of this scholastic writing is to review the different advanced nursing roles and scope of practice for the respective roles. This paper will further expand more on the nurse practitioner role and scope of practice, core competencies, certification requirements, legal aspects and practice environment. Advanced Practice Roles: Differences and Similarities Clinical Practice When clinical practice is mentioned, the first thought that comes to mind is hands on patient care. Of all the advanced practice roles mentioned, nurse practitioner is the...
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...Self-Management in Chronic Illnesses: A Concept Analysis Dianne Rinehardt Chamberlain College of Nursing NR501: Theoretical Basis for Advanced Nursing Practice November 2015 Self-management in Chronic Illness: A Concept Analysis Globally, the human species is experiencing longer life-spans. As the number of persons with extended lifespans increases, so does the prevalence of those living with chronic illnesses. With the inception of the Patient Protection and Affordable Care Act (ACA) in 2010, there has been a paradigm shift in the focus of healthcare from treatment to prevention. The origin of this paradigm shift occurred when traditional provider-directed/patient compliant approach failed to produce the outcomes that were expected (Udlis, 2011). Transforming healthcare from a treatment modality to one of prevention assumes that each person will be actively engaged in the prevention of chronic illnesses. Dorothea Orem’s self-care and self-care deficit nursing theory is based on the premise that people are naturally inclined towards self-care and that nursing should be focused on identifying and correcting any self-care deficits. Orem defined self-care as, “care that is performed by oneself for oneself when one has reached a state of maturity that is enabling for consistent, controlled, effective, and purposeful action” (Orem, Taylor & Renpenning, 2001, p 149). Orem’s self-care and self-care deficit theory is directly applicable to the concept of self-management...
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...administered by HHS is nation’s largest health care insurance. HHS governs more than 300 programs administered by its 11 operating divisions (Department of Health & Human Services, 2011). In addition, Office of the Inspector General (OIG) is also part of the HHS. Description of each 300 programs is beyond the scope of this paper. However, it is imperative to understand the role of each operating agency and how it affects the health care industry. Role of Federal Regulatory Agencies Each operating division consists of sub-divisions making health care system a complex maze. Main 11 operating agencies are: Administration for Children and Families (ACF) The ACF provides funding for family assistance, child support, and childcare. The state, county, and city governments provide these services (Department of Health & Human Services, 2011). Administration on Aging (AOA) The AOA is responsible for developing a comprehensive, coordinated, and cost-effective system for the elderly individuals to maintain their health and independence in their homes (Department of Health & Human Services, 2011). Agency for Health Care Research and Quality (AHRQ) The AHRQ conducts research aimed at improving...
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...main challenges which most countries are facing is the increasing proportion of chronic sick in their population. As one of the solutions, the application of personal wearable devices with corresponding system software are more and more popular in various aspects of healthcare. By utilizing modern techniques such as Body Sensor Network and General Packet Radio Service, the recent body sensor network systems continually collect user’s real-time health information and upload it to the database of healthcare center periodically. The system will track the user’s location accurately and alert the emergency center when detecting abnormal signals. Introduction Due to unhealthy living habits and...
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